Individual provider Active NPI

Kristan Swiney

  • Gerontology Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1902521008
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1103041 Issued in TX
Practice address
1201 N 18TH St
Abilene, TX 79601-2932
Phone
(325) 793-3100
Fax
(833) 437-1254
NPI assigned
Oct 11, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 904370 TX
Gerontology Nurse Practitioner 363LG0600X 1103041 TX Primary

Addresses

Primary practice location

1201 N 18TH St
Abilene, TX 79601-2932

Mailing address

1201 N 18TH St
Abilene, TX 79601-2932
Phone (325) 793-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110000745 TX Practitioner - Nurse Practitioner 5092185918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904370TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Dec 20, 2022 Accepting new patients
Hendrick Provider Network CurrentSince Dec 20, 2022 Accepting new patients

Locations

1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

Interoperability endpoints

  • Direct secure messaging: kristan.swiney.1@21794.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1902521008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012932",
            "telephone_number": "325-793-3100",
            "fax_number": "833-437-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012932",
            "telephone_number": "325-793-3100",
            "fax_number": "833-437-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINEY",
        "first_name": "KRISTAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "904370",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1103041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.